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for r� <br /> '-4-7 <br /> ter Laborator usonly <br /> Aas}er UNO� Acct.* Ma(— mapleL- <br /> $CRfF <br /> �. U1/llere quarrtyrs asaence � <br /> D809D5 CLS Analyses Requested <br /> Matrix Preservation Codes Preservative Codes _ <br /> Facility# SS#9-2033-OML GR#386847 Global ID#T0607700702 H=HCI T"=Thiosulfate <br /> NOOH <br /> 508 CHARTER WAY, STOCKfON. CA N=HNO3 8=Other <br /> Site Address <br /> SECORBS S=H2SO4 0=Other <br /> Chevron PM DR Lead Consultant 0 value reporting needed <br /> Consultant/Office GR, Inc, 6747 Sterra Court, Suite J. Dublin,Co. 94566 w <br /> a Must meet lowest detection limits <br /> Deanne L Herding (deanna@gnnc com) z U possible for 13289 compounds <br /> Consultant N Mgr 13tip <br /> Q o 8021 MTBE Confirmation <br /> Consultant Phone#925-551-7555 Fax# 325-551-7$99 Yc5 [3 gym,highest hit by e260 <br /> Sampler _ �l�ptNVL TE J1.UL�i0ngl — @ © l ❑Confirm all hits by 8269 <br /> Service Order# ©Hort SAR I z $ $ [3 Run`oxy s on highest hit <br /> 9 0 <br /> Date Time O ❑Run oxy a an all hits <br /> Sample Identification Collected Collect comments!•Remarks <br /> �ki� Stt.itA � �e.L <br /> 12kDO yC 1� X ?L r�ANtkf eN _ <br /> 42� 10 T4N-A0 WO TDH D <br /> U-- <br /> t,}_ 13 CN N►TS °WLY <br /> t <br /> ►WAST NEST LOW s'Sr <br /> vaSS►a'L`- FaN, <br /> Relinquished Data Time Received by D Time <br /> Tumaround Time Requested(TAT)(please drdle) T :-S. <br /> STPTAT , 72 hour 48 hour Reli ished by- Time by Time <br /> 2 4 day 5 dayY <br /> rRellinquish9by <br /> l ed Time Receive Da Time <br /> Data Package Options(please circ*if required) <br /> OC Summary Type I—Full Cam 1 Carrier Receivers by Date Time <br /> Type V1(Raw Data) ❑Cook Deliverable not neadLIOF1EDD �Sa - 9 Other <br /> WIP(RWQCI3) <br /> Disk TemperaWre Upon Recelpt '141q-4 <br /> Co Custody a No <br /> ` Lancaster Laboratories,Inc.,2425 Now holland Pike,PO Box 12425,Ler=ster,PA 17605-2425 (M)656-2300 3460 Rev 7130101 <br /> Copies White and yellow should aomnpany samples tb Lancaster Laboratories The pints copy should be retained by the client <br />